| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $423.49 | $423.49 | $423.49 | |
Cigna
| Professional | $164.22 | $331.99 | $700.00 | |
Moda Health
| Facility | $123.28 | $123.28 | $605.59 | |
Moda Health
| Professional | $98.42 | $98.42 | $140.60 | |
Providence
| Facility | $423.49 | $580.17 | $605.59 | |
Providence
| Professional | $98.42 | $325.01 | $700.00 |